NPIMap

Organization Active NPI

Advantgae Counseling and Educational

  • Clinical Social Worker
  • Croswell, MI
National Provider Identifier
1922405430
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801083748 Issued in MI
Legal business name
ADVANTGAE COUNSELING AND EDUCATIONAL
Practice address
81 N Howard Ave
Croswell, MI 48422-1222
Phone
(810) 679-0200
NPI assigned
Nov 26, 2014
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jerry HostermanNPI 1033226824
Title
President
Phone
(810) 679-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401011000 MI
Clinical Social Worker 1041C0700X 6801083748 MI Primary

Addresses

Primary practice location

81 N Howard Ave
Croswell, MI 48422-1222

Mailing address

81 N Howard Ave
Croswell, MI 48422-1222
Phone (810) 679-0200

National Provider Directory

National Provider Directory
Tax ID family
Advantage Counseling and Educational Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

81 N Howard Ave
Croswell, MI 48422
Phone (810) 679-0200

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1922405430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 N HOWARD AVE",
            "city": "CROSWELL",
            "state": "MI",
            "postal_code": "484221222",
            "telephone_number": "810-679-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 N HOWARD AVE",
            "city": "CROSWELL",
            "state": "MI",
            "postal_code": "484221222",
            "telephone_number": "810-679-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTGAE COUNSELING AND EDUCATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "HOSTERMAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-679-0200"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Croswell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.